PeriOp Exam Flashcards
what are the 6 concepts of perioperative care
coping tissue integrity ethical and legal practice safety perfusion teamwork and collaboration
what are the 3 phases of perioperative care
pre
intra
post
pre
post
intra
mid
post
after
what are the 6 different surgical purposes
diagnosis cure palliation prevention cosmetic exploration
determination of the presence/extent of a pathologic condition
diagnosis
elimination or repair of a pathologic condition
cure
alleviation of symptoms without a cure
palliation
cause something from getting worse
prevention
personal preference
cosmetic
surgical examination to determine the nature or extent of a disease
exploration
what are the 5 categories of surgery
emergent urgent required elective optional
requires immediate attention; may be life threatening, without delay
emergent
requires prompt attention, within 24 hrs
urgent
needs to have surgery, plan within a few weeks or months
required
should have surgery, failure to have surgery not catastrophic
elective
decision rests with patient, personal preference
optional
severe bleeding, bladder/intestinal obstruction, fractured skull, gunshot or stab wound, extensive burn
emergent
acute gallbladder infection, kidney or ureteral stones
urgent
prostatic hyperplasia w/o obstruction, thyroid disorders, cataracts
required
repair of scars, simple hernia, vaginal repair
elective
cosmetic surgery
optional
what should a nurse need to know before the operation
whats going on with the patient
what the pt feelings are about the procedure
lab work b4 pt goes back
risks and complications a person could have during operation
what are the 9 nursing assessment goals
- determine psychologic status
- determine physiologic factors
- establish baseline data
- identify and document surgical site
- identify meds and herbs taken that may affect surgical outcome
- identify and document and communicate results of laboratory/diagnostic test
- identify cultural and ethnic factors that may affect surgical experience
- determine receipt of adequate info from surgeon to sign informed consent
- determine info consent and that informed consent form is signed and witnessed
what part is a controlled environment
surgical suite
what part are personnel in street clothes interact with those in scrubs
unrestricted areas
what is the waiting area inside/adjacent to surgical suite
holding area
what area is the pt documentation taken, diagnostic tests, and site marked
holding area
what is the area that is peripheral support areas and corridors with only authorized staff; must wear surgical attire/cover all head and facial hair
semirestricted area
area that is geographically, environmentally, and bacteriologically controlled
operating room
who are the members of the surgical team
circulating nurse, scrub nurse, surgeon, surgeons assistant, RN first assistant, anesthesiologist and the patient
the perioperative (circulating nurse)
remains in unsterile field, not scrubbed, gowned, or gloved, also documents
what does the circulating nurse do
makes sure everyone in sterile case stays sterile
gets room ready
serves as patient advocate
gives pt the best dignity that we can
follows designated scrub procedure, gowned and gloved in sterile attire, remains in sterile field, passes instruments during procedure, supervised by RN
scrub nurse/surgical tech
can be a physician, RN, or PA who functions in assisting role; holds retractors, assists with homeostasis and suturing, may perform portions of procedure under direct supervision
Surgeons assistant
must have formal education, works collaboratively with the surgeon, patient, and surgical team, handles tissues, uses instruments, provides exposure to surgical site, assists with homeostasis, performs suturing
registered nurse first assistant
administers anesthesia, anesthesiologist or nurse anesthetist, maintenance of physiologic homeostasis, prescribes preoperative meds, monitors cardiac and resp status throughout procedure
anesthesia care provider
what 6 things do you need before the surgery
H&P, UA, CBC, Lytes, CXR, EKG
what are the 4 safety considerations
fire, smoke, universal protocol, surgical timeout
what helps from burning the pt during the procedure
grounding patch (place on fattest part of patient)
who prepares the surgical site
circulating nurse
what are the steps in a surgical timeout
Check ID band and birthdate
state surgical procedure (LorR)
Patient allergies and allergy band
make sure antibiotics are hanging
make sure all special equipment is in room
x ray for correct body part is in the room
who calls a timeout
RN (circulating nurse)
what is the point of a timeoout
legal document responsible by the nurse and is to avoid wrong surgery on the wrong body part
why is the surgical count important
to make sure nothing is left inside pt
how many are in each ray tech
10
how many are in each lap
5
what is taken after the procedure to make sure nothing was left in pt
xray
who does the surgical count
people scrubbed in and the circulating nurse
